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Virginia rates for HCPCS 99456

Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.57 / $125.82 / $125.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.57 / $87.57 / $400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.01 / $55.00 / $81.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.29 / $512.00 / $512.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.00 / $660.00 / $660.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.57 / $125.82 / $212.64
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.00 / $392.00 / $417.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.91 / $219.91 / $464.01
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.91 / $219.91 / $464.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.00 / $367.00 / $367.00